From what the mom said about all the things she's tried and her current milk
supply, I would be tempted to explore with her her feelings about working
full time with this child, given that she was at home with her older two.
Her body might just be saying a great big NO to the connection between
pumping and separation from her baby and other children.
Ingrid
LLLL, IBCLC
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Kershaw Jane
Sent: July 8, 2009 9:03 AM
To: [log in to unmask]
Subject: Re: Not responding to the pump
Change pump kit to M*. That might be illegal, but it might work. Also, try
putting baby on one side and pump singly on the other a few times to develop
a mental connection with the machine. I've found that to work. Have the
pump KIT tested to see if it is pulling enough to stimulate the nerves.
Make sure the flange is not too large or too small. The point is: pumps
work by eliciting the let-down reflex and then providing enough pull to keep
ducts open and milk coming out. The faster the milk gets out, the better
the results. If let-down reflex is slow or pump flanges cause swelling or
get too tight or in some way compress the ducts, milk can't get out, backs
up into the breasts and signals the breast to make less. Thank you Hartmann
et al for this research!
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Norma Ritter
Sent: Wednesday, July 08, 2009 9:45 AM
Subject: Not responding to the pump
I have been corresponding with a third-time mother who is not responding to
the pump.
Does anyone know if the synthetic oxytocin spray is still available, and if
so, where to get it? Other suggestions are also welcome.
Here is her story, reprinted with her permission.
TIA, norma
--
> - Currently breastfeeding my 3rd child.
- nursed the first and second with no problems
- with first son I was still attending college, so I had to pump for when
he went to daycare, using Ameda Purely Yours with good results.
But within weeks I was done with school and went to being a SAHM, so my
pumping was done. I stayed a SAHM for my second child too, and so I never
really needed to pump for him either.
- now have 3rd child.
- back to work F/T when she was only 6 weeks, no supply problems. My Ameda
Purely Yours was working like a charm, and coupled with the fact that my
baby was only taking 6oz tops at daycare, we were great. But slowly I think
I started building up a resistance to the pump.
- in the last 1-2 weeks things have gone downhill FAST. While I don't
think my actual supply is in danger (well, I WAS dehydrated to the point of
almost having to go to the hospital last week, but I remedied that quick),
I'm having a huge problem with the pump. I. Get.
Nothing. My 1st post-partum period started a little over a week ago (on
Saturday, June 27th), and it only lasted like 2 days (at this point I'm not
even sure it was a period), but my supply went from my usual 6-8oz to 2-3oz
max. Like I said, this was fine...my baby doesn't need a lot at daycare (and
I'm able to nurse her at lunch so I'm always around if she needs me), but
since that Saturday I haven't been able to pump anything.
- I went to the LC, and she watched me pump, let me rent the Ameda Elite
hospital pump, but even that is no longer working. So on a whim, thinking
that if I increased my supply I'd be able to pump more, I spent this entire
past weekend power pumping, taking a nursing vacation, and using More Milk
Plus. The results have been great...I literally have milk coming out of my
eyeballs. But I still can't pump any of it out.
- I realize now that my issue is that I have absolutely NO letdown.
It doesn't matter if I pump for 5 minutes, 10 minutes or 30
minutes...nothing is happening. I've tried everything I can possibly think
of: drinking water, relaxing (as much as I can), nursing baby on one side
while pumping on the other, looking at pictures of baby (nursing), smelling
an article of clothing of hers, breast massage, breast compression, and even
taking Rescue Remedy, but even with all of that combined (and adding a
pumping session first thing in the morning), I still only get 1 oz. And
because I used to be able to pump a lot, I know that when my one boob is
full I can get AT LEAST 6oz out of it. So to only get 1/2oz from it is
extremely disconcerting! <
Norma Ritter, IBCLC, RLC
Breastfeeding Matters in the Capital Region [log in to unmask]
www.NormaRitter.com http://normaritter.blogspot.com/
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